Possible change in the standard of care?

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LaBusqueda

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Top court to decide: Should doctors be held to lay standard?


Copied from first part of article:
Maryland physicians could see established medical liability law upended if the state’s high court doesn’t reject a trial court’s instructions informing jurors that negligence could be defined by what a “reasonable” layperson would do.

For more than a century, negligence in Maryland medical malpractice cases has been guided by the “reasonably competent” physician standard of care—a standard that juries and judges learn through expert witness testimony.

But when a five-day trial in which a patient sued his neurosurgeon after developing an abscess and bacterial infection after an incision did not heal properly concluded, a Baltimore County Circuit Court judge instructed the jury that they could also consider what a layperson would consider reasonable. When the physician asked the court to have the standard of care measured solely based on the expectations for a neurosurgeon, the judge refused to modify the jury instructions in the case, Armacost v. Davis.

The result: The jury returned a verdict in favor of the patient plaintiff, Mark Armacost....


I don’t want to imagine the world where what we do has to be based not on what another peer would do, but a lay person. How could this even be possible?



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Yep. Sounds good.
Let the layperson, who can't even spell correctly or change their own oil, decide what should-and-should-not be done with regard to how to practice medicine.

This judge is guilty of malpractice, if you ask me.
 
I agree. Thankfully this is only Maryland at the moment but I anticipate no matter which way this decision goes it will end up with the Scotus at one point


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Layperson would've MRI'd that knee pain in the ER, or CT'd the headache after a trivial injury, or written for 100 Percocet to keep the person from withdrawing from the naloxone after their heroin overdose, etc.

I swear medicine gets more difficult to practice in every single day.
 
...a Baltimore County Circuit Court judge instructed the jury that they could also consider what a layperson would consider reasonable

I was going to say that I would be curious as to the actual details of the case, but it doesn't really matter when this is the applied "standard."

(For the non-medical folks coming across this: "reasonable" to someone who doesn't practice medicine is all too often not the same thing to someone who actually practices medicine. I can't tell you how many times a patient or family has asked me for an emergent MRI that isn't needed, other testing that isn't needed, or to not do something that IS needed. This is why we go through many, many years of schooling and training to do what we do.)

****ing ridiculous.
 
I don’t want to imagine the world where what we do has to be based not on what another peer would do, but a lay person. How could this even be possible?
The world you "don't want to imagine" living in, is the world we already live in. In the medical malpractice system in the United States, juries of lay people decide the cases, based on how they see the cases as lay people. Despite jury instructions for juries to see cases through the eyes of someone else, juries are only human, and they'll see what they see, through their own eyes. So, yeah, on paper, I agree with you in the ideal. But in reality, you're focusing on a distinction without a difference. It's already that way. Ignore this case and the results, because it won't change anything, regardless of the result. The results are irrelevant, cannot and will not, change anything. Just do the best you can, all the time, and carry insurance to cover the times the system judges you in a way you disagree with, and let your insurance company worry about those times. You pay good money every month out of your paycheck (whether you see it or not) for them to worry about this stuff for you. You're paying them good money, so you don't have to start threads like this. So, in my humble opinion, this is a non-story.
 
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The world you "don't want to imagine" living in, is the world we already live in. In the medical malpractice system in the United States, juries of lay people decide the cases, based on how they see the cases as lay people. Despite jury instructions for juries to see cases through the eyes of someone else, juries are only human, and they'll see what they see, through their own eyes. So, yeah, on paper, I agree with you in the ideal. But in reality, you're focusing on a distinction without a difference. It's already that way. Ignore this case and the results, because it won't change anything, regardless of the result. The results are irrelevant, cannot and will not, change anything. Just do the best you can, all the time, and carry insurance to cover the times the system judges you in a way you disagree with, and let your insurance company worry about those times. You pay good money every month out of your paycheck (whether you see it or not) for them to worry about this stuff for you. You're paying them good money, so you don't have to start threads like this. So, in my humble opinion, this is a non-story.

I can see your point and cannot argue the flaws of a layperson jury system and medical malpractice. However, changing what determines the “standard of care” will have a significant effects as to which case actually even get to a jury. So in this realm I do think it has significant relevance going forward.


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Next to the stand, plaintiff expert (lay person) witness:

IMG_1016.JPG



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Pic just for laughs of a scene after upholding of lower court decision.

Right now cases are judged to meet the SOC or not. But the definition lies in what another physician would determine that to be. Is it still flawed? Big time (no same specialty protections, etc.)
But opening it up to a lay standard just seems to open up the door to the lawyers to feel safe to take more cases to trial.

Who knows...I hope you are more right going forward for sure, and perhaps just my own anger at the asinine nature of this case guide my pessimistic view😉



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